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What should be known prior to performing EUS?

Christoph F Dietrich1, Paolo Giorgio Arcidiacono2, Barbara Braden3

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|February 20, 2019
PubMed
Summary

Direct referral for endoscopic ultrasound (EUS) requires careful pre-referral assessment. Ensuring proper patient preparation and clear indications optimizes EUS safety and outcomes.

Keywords:
Coagulation testsEUScost-effectivesedation

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Area of Science:

  • Gastroenterology
  • Medical Procedures

Background:

  • Direct referral for endoscopic ultrasound (EUS) is now standard, replacing preprocedural consultations.
  • This shift necessitates a thorough review of referral information by the endosonographer.

Purpose of the Study:

  • To outline essential information required for safe and appropriate EUS referrals.
  • To discuss practical aspects of EUS preparation from multiple perspectives.

Main Methods:

  • Review of current practices in EUS referrals.
  • Discussion of key clinical data, patient fitness, and procedural management.

Main Results:

  • Critical information includes comorbidities, patient consent capacity, and anticoagulation status.
  • Management of anticoagulation, antiplatelet therapy, antibiotic prophylaxis, and sedation is crucial.
  • Relevant findings from other imaging modalities aid in clarifying clinical questions.

Conclusions:

  • Optimizing EUS preparation, indications, and referral clarity enhances procedural outcomes.
  • Careful consideration of patient-specific factors ensures safe and effective EUS examinations.